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AGENCY CUSTOMER ID: <br /> LOC#: <br /> ACO® ADDITIONAL REMARKS SCHEDULE <br /> 16*� <br /> AGENCY NAMED INSURED <br /> REPUBLIC SERVICES, INC. <br /> POLICY NUMBER 5353 E. CITY NORTH DRIVE <br /> See First Page PHOENIX,AZ 85054 <br /> CARRIER NAIC CODE <br /> See First Page EFFECTIVE DATE: <br /> ADDITIONAL REMARKS CERTIFICATE NUMBER: 3059276 <br /> THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM. <br /> FORM NUMBER: 25 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE <br /> The following provisions apply when required by written contract.As used below,the term certificate holder also includes any person or organization that <br /> the insured has become obligated to include as a result of an executed contract or agreement. <br /> GENERAL LIABILITY: <br /> Certificate holder is Additional Insured including on-going and completed operations when required by written contract. <br /> Coverage is primary and non-contributory when required by written contract. <br /> Waiver of Subrogation in favor of the certificate holder is included when required by written contract. <br /> AUTO LIABILITY: <br /> Certificate holder is Additional Insured when required by written contract. <br /> Coverage is primary and non-contributory when required by written contract. <br /> Waiver of Subrogation in favor of the certificate holder is included when required by written contract. <br /> WORKERS'COMPENSATION AND EMPLOYER'S LIABILITY: <br /> Waiver of Subrogation in favor of the certificate holder is included when required by written contract where allowed by state law. <br /> Stop gap coverage for ND,WA and WY is covered under policy no.WLR C72811367 and stop gap coverage for OH is covered under policy no.WCU <br /> C72811380,as noted on page 1 of this certificate. <br /> TEXAS EXCESS INDEMNITY AND EMPLOYER'S LIABILITY: <br /> Insured is a registered non-subscriber to the Texas Workers' Compensation Act. Insured has filed an approved Indemnity Plan with the Texas <br /> Department of Insurance which offers an alternative in benefits to employees rather than the traditional Workers'Compensation Insurance in Texas.The <br /> excess policy(TNS C74596976)shown on this certificate provides excess indemnity and Employer's Liability coverage for the approved Indemnity Plan. <br /> Contractual Liability is included in the General Liability and Automobile Liability coverage forms.The General Liability and Automobile Liability policies do <br /> not contain endorsements excluding Contractual Liability. <br /> Separation of Insured (Cross Liability)coverage is provided to the Additional Insured,when required by written contract, per the Conditions of the <br /> Commercial General Liability Coverage form and the Automobile Liability Coverage form. <br /> Umbrella/Excess Liability provides additional limits over the underlying General Liability,Automobile Liability and Employer's Liability policies shown on <br /> this certificate. <br /> Umbrella/Excess Details of Cover: <br /> Policy No.XEU G46782148 010—ACE Property and Casualty Insurance Company(NAIC#20699)-$10MM Each Occurrence/Annual Aggregate <br /> (6/30/26—6/30/27) <br /> Policy No. 13011988—National Union Fire Insurance Company of Pittsburgh, PA(NAIC#19445)-$5MM Each Occurrence/Annual Aggregate—Excess <br /> of$10MM (6/30/26—6/30/27) <br /> Policy No. CAVX000294-00—First Specialty Excess Ltd-$8MM Occurrence/Annual Aggregate part of$10MM—Excess of$15MM(6/30/26—6/30/27) <br /> Policy No. B08011142333—Lloyd's Syndicates(Canopius/QBE/Hiscox/Arch/AXIS/Allied World/AXA XL/Beazley)-$2MM Each <br /> Occurrence/Annual Aggregate part of$10MM—Excess of$15MM(6/30/26—6/30/27) <br /> Policy No. EXC 5888614—Great American Security Insurance Company(NAIC#31135)-$5MM Each Occurrence/Annual Aggregate—Excess of <br /> $25MM(6/30/26—6/30/27) <br /> Policy No. USL02887326—Fireman's Fund Indemnity Corporation(NAIC#11380)-$5MM Each Occurrence/Annual Aggregate—Excess of$30MM <br /> (6/30/26—6/30/27) <br /> Policy No.13012021 —AIG Specialty Insurance Company(NAIC#26883)-$2MM Each Occurrence/Annual Aggregate part of$5MM-Excess of$35MM <br /> (6/30/26—6/30/27) <br /> Policy No. B08011142355-Lloyd's Syndicates(Canopius/QBE/Hiscox/Arch/AXIS/Allied World/AXA XL/Beazley)-$1.5MM Each <br /> Occurrence/Annual Aggregate part of$5MM-Excess of$35MM(6/30/26—6/30/27) <br /> ACORD 101(2008/01) ©1988-2010 ACORD CORPORATION.All rights reserved. <br /> The ACORD name and logo are registered marks of ACORD <br />